NPI 1013489616

Jonathan Allen Mendez, LPC

Practitioner Professional Counselor Macon, GA

Practice location

Address: 2607 Vineville Ave STE 107, Macon, GA 31204-0900
Phone: (478) 305-9913

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC010577 (GA)

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Registry record

NPI: 1013489616
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Dec 2018
Record last updated: 19 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.